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General NPI Number Information
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NPI Number | 1487953873
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Entity Type | Individual
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Provider Name | RACHEL HOLLY DOTY CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/24/2011
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 29 EASTBROOK RD
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City | RONKS
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State | PA
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Zip | 17572-9769
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Country | US
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Telephone | 717-299-5711
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Fax |
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Provider Business Mailing Address
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Address Line | 29 EASTBROOK RD
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City | RONKS
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State | PA
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Zip | 17572-9769
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Country | US
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Telephone | 717-299-5711
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN604764
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP011326
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License Number State | PA
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